CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Texas Health Harris Methodist Hospital Azle

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,600
Cash Discount Price: $2,830
vs. Medicare Baseline: 4.49x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Texas Health Harris Methodist Hospital Azle is $1,600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,830. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.49x the Medicare baseline. Located in 108 Denver Trail, Azle, TX.

Cash / Self-Pay

$2,830

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,600

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $2,830 (794%)

Insurance Median: $1,600 (449%)

Cash: $2,830 (794% of Medicare)

Ins. Median: $1,600 (449% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 449% of the Medicare baseline (a markup of 349%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerigroup	$328 - $369	92%
Blue Cross Blue Shield	$328 - $2,707	92%
Cook Childrens	$328	92%
UnitedHealthcare	$328 - $1,933	92%
Superior Wellcare	$345 - $386	97%
American Health	$351	98%
Molina	$354 - $369	99%
Healthspring	$358	100%
Aetna	$361 - $3,306	101%
Humana	$365	102%
Fort Worth Firefighters	$1,105 - $2,880	310%
Cigna	$1,973 - $4,438	554%
City Of Fort Worth	$2,217	622%
Quick Trip	$3,349	940%
Healthsmart	$3,538 - $3,962	993%
Phcs	$3,943	1106%
Multiplan	$4,104	1151%
Galaxy	$4,151	1165%
Usa	$4,151	1165%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,830.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Health Harris Methodist Hospital Azle is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70553.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.